Northern Seawolf Holdings

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1767 Issued in AK

Legal business name

NORTHERN SEAWOLF HOLDINGS

Doing business as

Seawolf Physical Therapy

Practice address

12201 Industry Way
Anchorage, AK 99515-4316

Phone

(907) 677-9653

NPI assigned

Mar 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Korre Leigh Pieper, P.T.NPI 1427100122

Title

President

Phone

(907) 677-9653

Specialties & licenses 1

Addresses

Other names 1

• Seawolf Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Korre Leigh Pieper, P.T.

  • Physical Therapist
  • Anchorage, AK
  • NPI 1427100122
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1598007205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 INDUSTRY WAY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154316",
            "telephone_number": "907-677-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 INDUSTRY WAY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154316",
            "telephone_number": "907-677-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN SEAWOLF HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "PIEPER",
        "authorized_official_first_name": "KORRE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-677-9653",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "1767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seawolf Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.